CMS Price Transparency Data

Blood transfusion

Facility: Southern Hills Hospital and Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $1,709
Cash Discount Price: $3,410
vs. Medicare Baseline: 3.79x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Southern Hills Hospital and Medical Center is $1,709. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,410. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 3.79x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.

Cash / Self-Pay

$3,410

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,709

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$450.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $450.73 (100%)

Cash / Self-Pay: $3,410 (757%)

Insurance Median: $1,709 (379%)

Cash: $3,410 (757% of Medicare)

Ins. Median: $1,709 (379% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $450.73 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 379% of the Medicare baseline (a markup of 279%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Community Care Health	$32	7%
Molina Healthcare	$32 - $34	7%
Sierra Hpn	$32	7%
Caresource	$34	8%
United	$288 - $1,982	64%
Aetna	$699 - $1,713	155%
Ambetter / Centene	$716 - $2,626	159%
Select Health	$737 - $5,307	164%
Cigna	$764 - $6,461	170%
Prominence Healthfirst	$1,023	227%
Cmn Global	$1,432	318%
Sierra	$1,671	371%
Evernorth	$1,705	378%
Hometown Health Providers	$1,705	378%
Nv Health & Welfare Trust	$2,046	454%
Multiplan	$2,148 - $2,489	477%
First Health	$2,251 - $2,728	499%
Medcare International	$2,558	568%
Olympus Medsave Usa	$2,558	568%
Blue Cross Blue Shield	$2,976 - $3,720	660%
Health Services Coalition	$3,866	858%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,410.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 36430.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Southern Hills Hospital and Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 36430.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.